04-7177 (SFD)w
Tihf 4 4 Q"
104
LE TAMPICO
CALIFORNIA 92253
BUILDING PERMIT
Property Address . . . .
APN:
Application description
Property Zoning . . . . .
Application valuation . .
Owner-
------------------------
POWER FINANCE
P.O. BOX 134
LA QUINTA CA 92247
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
X04-00007177 Date 12/03/04
78375 AVENIDA LA FONDA
770 -164 -013 -1 -000000 -
DWELLING - SINGLE FAMILY DETACHED
MEDIUM DENSITY RES
99448
Contractor
------------------------
CONTEMPORARY HOMES INCORP
P.O. BOX 1141
LA QUINTA CA 92253
WCC: STATE FUND
WC: 16764082004
07/01/05
CSLB: 736920
03/31/05
CCC: B
------ Structure Information SINGLE FAMILY DWELLING
-----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone
FLOOD ZONE AO
Other struct info
CODE EDITION 2001 CBC
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
536.00
PATIO SQ FTG
176.00
NUMBER OF UNITS
1.00
---------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1514.00
7 -------------
Permit. BUILDING PERMIT _ A
Additional desc
Permit Fee . . . .
639.50 Plan Check Fee
415..68
Issue Date . . . .
Valuation
99448
Qty Unit Charge
Per
Extension
BASE FEE
414.50
50.00 4.5000
-------------------------------------
THOU BLDG 50,001-100,000
225.00
Permit . . . . . .
---------------------------------------
MECHANICAL
Additional desc
Permit Fee . . . .
52.50 Plan Check Fee
13.13
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA ,MECH FURNACE <=100K
9.00
1,.00 9.0000
EA MECH'B/C <=3HP/100K BTU
9.00
2.00 6.5000
EA MECH VENT FAN
13.00
� O �
P.O. Box 1504 /� ,
w VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: d 7 717 % Date: 5--/2 — yj�
Applicant: Architect or Engineer:
o I
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILUINU PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my License is in full force and effect.
License Class License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
L) I am exempt under Sec. , BA P.C. for this reason
Date
I hereby affirm under penalty of perjury one of the wUKKEW5"COMPENSATION DECLARATION
following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier. Policy Number
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provj6fOms„
15- !-7 'CPS,
WARNING: FAILURE TO SECURE WORKERS' C6JAPENSATION CO EV RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or.
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above inf rm 'on is rrect. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county t enter o e above-mentioned property for inspection purposes.
S' ature (Applicant or Agent):
P T.
t
Application Number
. . . . . 04-00007177
Page 2
Date 12/03/04
Qty
Unit Charge
Per
Extension
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
-----------------------------------------------------------------------------
Permit .
. . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
93.71 Plan Check Fee
23.43
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1514.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
52.99
- 536.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
10.72
1.00
15.0000
EA ELEC TEMPORARY POWER POLE
15.00
- --------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
141.00 Plan Check Fee
35.25
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
12.00
6.0000
EA PLB FIXTURE
72.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
1.00
7.5000,EA
PLB WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00
9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA PLB GAS PIPE >=5
4.50
1.00
----------------------------------------------------------------------------
15.0000
EA PLB•GAS METER
15.00
Permit .
... . . .
GRADING PERMIT
Additional.desc
Permit Fee
. . . .
15.00 Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Qty -Unit
Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes
and Comments
1514 S.F.
SFD PERMIT
DOES NOT INCLUDE
BLOCK WALL,
POOL/SPA
OR DRIVEWAY
APPROACH
_7 ---------------------------------------------------------------------------
Other Fees
: . . . .
. . . . ART IN PUBLIC PLACES -RES.
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
Page
3
Application Number
. . . . .
04-00007177 Date
12/03/04
----------------------------------------------------------------------------
Other Fees . .
. . . . . .
ENERGY REVIEW FEE
41.57
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
9.94
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
941.71
.00 .00
941.71
Plan Check Total
487.49
.00 .00
487.49
Other Fee Total
2471.51
.00 .00
2471.51
Grand Total
3900.71.
.00 .00
3900.71
CERTIFICATE OF COMPLIANCE
n„0
Desert Sands Unified School District
� ��`
47950 Dune Palms Road
BERMUDA DUNES O
Date 5/12/05 La Quinta, CA 92253
Cn RANCHO MIRAGE (�
INDIAN WELLS �.
27182 (760) 771-8515
PALMNo.
LA QUINTA
`�'
�RINDIQ
V
Q
Owner Power Finance APN # 770-164-013
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street S.F.
Unit 1 ,:;nam —7AvenidaiLaiForn� 1514 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
. EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 1,514 S.F. or $3,391.36 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/Rabobank - Amanda Valez
Name on the check
1
By Dr. Doris Wilson
Superintendent
Check No. 349188
Telephone
Funding Residential
Fee collected /exempted br9wMcGilvrey Payment Recd 0.00
$3,391.36 Over/Under
Signature �/
NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authored to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
' C
4
411
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
(760) 777-7075
APPLICATION
FLOOD PLAIN DEVELOPMENT PERMIT
BUILDING SITE LOCATION FLOOD zONE'AO* - DEPTH.1
COMMUNITY- PANEL NUMBER
060709 0005 8
Map Revised: 8/19/1991
PPLICANT INFORMATION SE TION
APPLICANT NAME
APPLICANT
ADDRESS /
(MAILING ADDRESS. NOT THE BUILDING SITE) 2 / •�
/ /
DAYTIME TELEPHONE N0.
INSTRUCTIONS
1. A Flood Plain Development Permit is required by LQMC Section 8.11:040(A). The Applicant should complete the
Applicant Information portion of this application and submit it to the Engineering Department along with the
required documentation noted hereon at the same time the -Precise Grading Plan is submitted to the Building and
Safety Department for plan checking.
2:. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance
• Copy of the proposed Precise Grading Plan for review and approval containing all information required by
the checklist shown on the back of this application.
3. Documentation requited for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain. Development Permit approval.
Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety
Department authorizes foundation construction.
• Submit a completed FEMA "Elevation Certificate" form to the Engineering Department.
• Submit 95% relative density soils compaction certification to the Engineering 'Department.
STEP 1 OF 2 APPROVAL 'STEP 2 OF 2 APPROVAL
The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain
reviewed and found to contain all data required to satisfy the Development Permit is approved.
requirements of LQMC 8.11 The proposed dwelling is eligible to
receive a building permit upon satisfying all other Building &
Safet Department requirem
7_.20 -DE
AUTHORIZED SIGNATURE DATE AUTHORIZED SIG NATU DATE
La Quinta Engineering Department La Quinta Engineering Department
FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant.
060qt
r-090 REV .2
7/00
'-/-*/2005 WED 8; 36 FAX 760 7,77 7155 City of Lintb, Wk 7 _3
� t a Qua Pu�-L—'��� 9002/003
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200:
ELEVATION CERTIFICATE
Important: Read the Instructions on pages 1 - 7
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME . 7hivmas Policy Number
BUILDING STREET ADDRE (Inducting Apt„ Unit, Suite, and/or Idg. No,) R P.O. ROUTE D BOX NO. Company NAIC Number
CITY . . ,me -^_--
Tax F
.O
area,
or p#.t°) l _ I NAD 1927 Ll NAD 1983 SOURCE: 1_I GPS (Type):
LL -1 USGS Quad Map I__J Other
SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NF1P CO N & C MMUNITY NUMBER 52. COUNTY
B3, STATE
B4. MAP AND PANEL .
NUMBER
B5. SUFFIX
86. FIRM INDEX
B7, FIRM PANEL
B8. FL D
B9. BASE FLOOD ELEVATION(S)
(S)
O
�
bArE
EFFECTIVEMS-VISED DATE
ZONE S
()
(Zona AO, use depth of flooding)
R10_ IndloaIe the se"e Af
ii— Anne p ..
s, ro
e) elevation of machinery and/or equipment
�y�
�wvouvi i %cru-uaua or oase noon depin enierec In B9.
FIS Profile 14 FIRM L1 Community Determined I--[ Other (Describe):
811. Indicate the elevation datum used for the BFE in B9: �_J NGVD 1929 �_J NAVD•1988 1_1 Other (Describe):
812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1__1 Yes L—] No
Designation Date,
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1_ Building elevations are based on: L lConstnucUdn Drawings•_1Bulding Under Construction' LAFinished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number' (Select the building diagram most similar to the building.for which this certificate Is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) c
C3. Elevation -Zones Al -A30, AE, AH, A (with BFE), VE, V1-V30,.V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, ARIAO
Complete Items C3,a-i below according to the bullding diagram specified In Item C2. State the datum used. If the datum Is different from
the datum used for the BFE in Section 6, convert the datum to that used for the BFE. show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to, document the datum conversion.
Datum Conversion/Comments
Elevation referenoe mark used Does the elevation reference mark used appear on the FIR Yes [--1 No
❑ a) Top of bottom floor (Including basement or enclosure) tw �" ry,(m)
O b) Top of next higher floor
ft (m)
�
QQ�®F� �$/��p�,,
O c) Bottom of lowest horizontal structural member (V zones only)
13 d) Attached garage (top of slab)
-m) `< �Q� O\pR soi,��,`��
O Lowest
�(m)
s, ro
e) elevation of machinery and/or equipment
w
y�
servicing the building (Describe In a Comments area.)
�T �' fL(m
�
w ria
No; 47834 s rn
❑ 0 Lowest adjacent (finished) grade (LAG)
ft(rr
z
Exp.
O g) Highest adjacent (finished) grade (HAG)
0
.R(m)
3 to
-
hI No. of permanent openings (good vents) within 1 ft. above adjacent gradeIs 184 Z1S 1
❑ q Total area of all permanent openings (flood vents) In C3.h _ �,(�, sq. In. (sq, cm) r�TFOF I -At
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevatlon Information_
I eertfly that the information In Sections A. A arrd C on this certificate represents my best efforts to interpret the data available.
/ understand that any false statement may punishable by fine or lmprisor►ment under le U.S. code Section 1001
CERTIFIER 5 NAME LICENSE NUMBER
TITLE COMPANY NAME
ADDRESS CITY STATE ZIP COD
SIGNATURE DATE TELEPHONE
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces 01 previous editions
ti
07/Uc2005 WED 8;36 FAX 760 777 7155 City of La Quinta Pub.Wk 8003/003
IMPORTANT: In these spaces, copy the corresponding Information frorn Section A, For Insurance Company Use:
BUILDING STREET ADDRESS{Including AptUnit,.Suit end/or,Bldg, No. OR P.O. OUTE AND BOX NO. Polley Nber
—3
um
STATI: — ZIP CODE Company MAIC Number
C
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) '
Copy both sides of this Elevation Certificate for (1) community offlclal, (2) insurance agent/campany, and (3) building owner.
COMMENTS
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (vlirmOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1. through ES. If the Elevation Certificate is Intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
E1. Building Diagram Number __ (Select the building diagram most similar to the building for which this certificate Is being completed —
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)'
F2. The top of the bottom floor (including basement or enclosure) of the building is I—LL1 fl. (m) IQL1 In. (cm) La(1 above or 1_1 below
(check one) the highest adjacent grade. (Use natural grade, if avellable.)
E3. For Building Dpplashin
6-8 with openings (see page 7), the next higher floor or elevated -floor (elevation b) of the building Is
_-iii ft- (m)n. (cm) above the highest adjacent grade. Complete Items C3.h and C3.i on nt of form.
E4. The top of the of machinery and/or equipment servicing the building Is �_U,I ft. (m) LOU in. (cm) LXX above or L__1 below
• (check one) the highest adjacent grade. (Use natural grade, if available.) -
E5. For Zone AO only: If no flood depth number is available, Is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? LI Yes 11 No 1-1 Unknown The local official must certify this information In Section G. _
SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B. C (Items C3.h and C3.1 only), and E for Zone A
(without a FEMA -issued or community4ssued BFE) or Zone AO must sign here. The statements in Sections'A, 8, C, and E are correct to
the best of my knowladnP
OR
NAME
CODE
DATE % 19�5� TELEPHONE
LJ Check here if attachments
SECTION O - COMMUNITY INFORMATION (OPTIONAL)
The local official who Is authorized by law or ordinance to administer.the community's floodplain management ordinance can complete
Sectlone A, B, C (or E), and G, of this Elevation Certificate. Complete the appricable Item(s) and sign below.
G1. L-1 The Information in Section C was taken from other documentation that has been sighed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data In the Comments area below.)
02. LJ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -issued BFE) or
Zone AO.
G3. U The following information (Items 1334-09) Is provided for community floodplain management purposes.
IG4. PERMIT NUMBER 05. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANC QCCUPANCY
ISSUED
G7 This permit has been issued for. 1_1 New Construction (� Substantial Improvement
G8.•Elevation of as -built lowest floor (including basement) of the building is: _ ft. (m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ iL (m) Datum:
LOCAL OFFICIAI.'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here N attachments
.FEMA Form 8131, January 2003 Replaces all previous editions
EB -01-2006 04:23 PM
CERTIFICATE OF FIELD VERIFICATION
Project Title . / d � ,f1
v7d- �•9L �,a Ain i1 (X
P.01
-4R
G
Date
1A�SllGl4�Cs
Builder Name
Pro ct Aoaress
IK4.c
Builder Co tact ..Telephone Plan Number
�� IA, C4o
HERS ater T le- hole Sample Group Number
D e 6 Sample House Number
C fying Signature I
�' 4-�� HERS Provider:
Firm:
�� �h �,,Q gym,,( ifl ..e • City/State/Zip:
Street Address: L -u ��•� C�i Z? r
Copies to: Builder, HERS Provider
HERIS MjKRCQM%IANCESTATEMENT
The house was: Tested El Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
co with the diagnostic tested compliance requirements as checked on this form.
Distrlbution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu
ducts)
Where cloth backed, rubber adhesive duct tape Is installed, mastic and drewbands are used In combination
with cloth backed, rubber adhesive duct tape to seal leeks at duct connections.
*MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM Q 25 Pa) values
Test Leakage Flow in CFM J
If fan flow Is calculated as 400cfm/ton x'number of tons enter , i
calculated value here A/ 0
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) _ -Fi 6
Check Box for Pass or Fail (Pass=6% or less)
��I THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
L�( Yes ❑ No Thermostatic Expansion Valve (or Commission approved
(/ equivalent) is installed and Access Is provided for Inspection
Yes Is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. D Yes ❑ No ACCA Manual D Design requirements have been met
(rater has verified that actual Installation matches values in
CF -1 R and design on plan.
2. ElYes 13 No
TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
Pass Fall
Pass Fail
D ❑
Yes for both 1 and 216 a Pass Pass Fail
CITY OF LA QUINTA
PUBLIC WORKS. DEPARTMENT
LETTER OF TRANSMITTAL
TO: MR. THOMAS BUFFIN
FROM: ANTHONY COLAROSSI, ASSISTANT ENGINEER I
SUBJECT: FLOODPLAIN APPLICATIONS.
LOCATION: 78-375 AVENIDA LA FONDA PCN 05041
DATE: 5/11/2005
On your return visit to the Public Works Department (for the second signature on the FEMA
application form), please return application permit along with the following documents for final
signature on the application form
rovN�7�1�N
a. Compaction Results (95% or greater) within building area An
(Prior to a —E *-V
d pouring slabs)
b. Letter/Report stamped by a Registered Civil Engineer and stating the following:
a. "The fill as been compacted according to the Precise Grading plans" (Prior to
Pulling a Building Permit and pouring slabs)
C. Actual elevation of the Lowest Habitable Elevation (May be shot on Form)
a. Must be stamped by Registered Civil Engineer or Surveyor and indicating that
the elevation is the "Lowest Habitable Elevation"
If you have any questions, please contact me at 777-7089.
Thank you, Tony
n
�:
G E N E IR ?. "A L NOTT-1 S
I _rj
1. ALL 'WORK SHALL BE DONE IN ACCORDANCE WITH THE STANDARD PLANS OF THE CITY OF
IFI,- A
LA QUINTA AND THE STANDARD SRECI CATIONS FOR PUBLIC WORKS CONSTRUCTION, LATEST
EDIIION, AND RIVERSIDE COUNTY STANDARDS AND SPECIFICATIONS ORDINANCE 461, LATEST
E' """ iN L __ N 0.
EDIIAION�
A
Q U
2. THE CONTRACTOR SHALL OBTAIN ALL PERMITS AS REQ IRIED BY HE CITY OF L QUINTA
OR OTHER GOVERNING AGENCIES.
3� TtiF LOCATION OF EXISTING UNDERGROUND UTILITIES ARESHOWN IN AN APPROMMATE WAY
ONLY. THE CONTRACTOR SHALLI D'E -1'_R,1v1INE THE EXACT LOCATION OF ALL uk-STING UTILITIES
All 0
BEFORE CONIMANCING WORK. HE AGRRES TO BE FULLY ESPONSIBLE FOR ANY AND ALL DAMAGES
WHICH MIGHT BE OCCASIONED BY HIS FAILURE TO EXACTLY LOCATE AND PRESERVE ANY AND
All UNDERGROUND UTILITIES,
4. THE CONTRACTOR SHAI L BE DESPOUC101 Et FOR THE REMOVAL, REPLACEMEN T OR RELOCATION
I I
OF ALL REGULATORY, WARING AND GUIDE SIGNS.
5. STREET NAME SIGNIS) AND TRAFFIC CONTROL SIGNS, TYPE AND LOCATION SHALL BE APPROVED
BY THE CIT'Y' ENGINEER. TRAFFIC STRIPING, LEGENDS AND PAVEMENT MARTKERS, TYPE AND
fix
E APPROVED BY THE CITY ENGINEER.
LOCATIONS SHALL Br
6. THI E CONTRACTOR SHALL NOT DISTURB EXISTING SURVEY MONUMENTS OR BENCH MARKS NOTED
A , ��,
ON THE PLANS, OR FOUND DURING CONSTRUCTION. REMOVAI AND REPLACE M ENT SHALL BE DONE
BY A REGISTERED Ch.111- ENGINEER WITH AN R.C.E. NUMBER BELOW 33,966, (OR A LICENSED
LAND SURVEYOR ONLY.
7. GRADING SFALI BE IN ACCORDANCE NTH THE F GINEERED GRADING REQUIREMENTS OF
N I
THE UNIFORM BUILI)ING CODE, LATEST EDITION, AND SOILS REPORT NO.
DATED PREPARED BY TELEPHONE
Mr- T A HOURS PRIOR TO
8. 11HE ;CONTRACTOR SHALL NOTIFY THE CITY PUBLIC WORKS DEPAR -1. N 18
ANY GRADING, BRUSHING OR CLEARING AND EACH PHASE OF 'CONSTRUCTION AT (760) 777-7075,
AND 48 HOURS PRIOR TO REQUIRING NSPECIIONS.
9. DURING ROUGH GRADING OPE ATIONS AND PRIOR T10 CONSTRUCTION 01: PERMANENT DRAINAGE
STRUCTURE, TEMPORARY DRAINAGE CONTROL SHALL BE PROVIDED TO PREVENT PONDING WATER
AND DAMAGE TO ADJACENT PROPERTY.
F
10. CONSTRUCTION OPERATIONS AND MAINTENANCE 0, EQUIPMENT WITHIN ONE HALF MILE OF HUMA
IS 1 0
�CCUPANCY SHALL BE PERFORMED ONLY DURING THE TIME PERIODS A,-- F7 LLOWS:
OCTOBER IST TO APRIL 30TH: MONDAY -FRIDAY 7:00 AM TO 5.30 PM
MAY 1ST TO SEPTEMBER 30TH: MONDAY -FRIDAY 6.-00 AM TO 7:OG PM
SATURDAY 8: 00 AM TO 5: 00 PM
WORK SHALL BE PROHIBITED ANY TIME ON -SUNDAY OR FEDERAL HOLIDAY.
NOTE
11. AFTER CLEARING EXISTING GROUND SHALL BE SCARIFIED TO A MINIMUM Of:- 6" ON THE E -N
fRA; S 0
F Cy
IRT
S! -It OR AS RECOMMENDED BY SOILS REP 1.
CONTROL12,
MAXIMUM CUT AND FILL SLOPES = 2:1.
WITHIN
13. PADS SHALLLBE COMPACTED TO A MINIMUM C11rF 95% RELATIVE DENSITY PER A.S.T.M.
SPECIFICATIONS AND ABOVE MEN 11ONED SOILS REPORT.
ALL FIL
IMME T Y_
14. MINIMUM BUILDING PAD DRAINAGE SHALL BE 27, DRAINAGE SWALES SHALL BE A MINIMUM OF
101
0.3' DEEP AND BE CONSTRUCTED A MINIMUM OF 2' FROM THE TOP OF CUT OR FILL SLOPES. MINIMUM
SLOPE OF SWALESSHALL BE a5O7..
T11
'E E
15. COMPACTION WITH IN THE BUILDING PAD MUST BE AT OR ABOVE 95% COMPACTION
STATING
A
BASED ON ASTLM D1557,
)JI 77FF
16. ALL STREET SECTIONS ARE TENTATIVE, THENINIMUM SECTION, IS 3" A.C. / 4.5" CRUSH A B.,
PRECISE
1_1 Rtl)
ADDITIONAL SOIL TEST SIALL BE REQUIRE AFTER ROUGH GRADING TO DETERMINE EXACT SECTION
REQUIREMENTS. CITY ENGINEER TO APPROVE FINAL STREET SECTION.
i6,
17. LOCAT IONS OF FIELD DENSIT Y TEST SHAI 11 BE DE TIERMINED BY THE SOIL ENGINEER OR APPROVED
TESTING AGENCY AND SHALI BE SUFFICIENT IN BOTH HORIZONTAAI AND VERPICAL PLACEMENT TO
I
.in C
P R 0 viDE_ REP1RESL_NTA-1iVE TESTING OF ALI, FILL PLACED. TESTING IN AREAS OF A CRITICAL NATURE
-
OF SPECIAL EMPHASIS SHALL BE IN ADDITION TO T14E NORMAL REPRESENTATIVE SAMPLINGIS.
18. ALL UNDRGROUND FACILITIES, WITH LATRALS, SHALL BE IN PLACE AND INSPECTED PRIOR TO
PAMING. INCLUDING, BUT INOT LIMITED TO THE FOLLOWING: SEWER, WATER, ELECTRIC, GAS AND
DRAINAGE
CT
19. THE FINAL UTILITY LINE BACKFILL REPORT FROM THE PROjE I SOIL ENGINEER SHALL INCLUDE
ij 11V "' BACKFILI IS SUITABLE FOR THE INTENDED
AN APPRO I STATE ENT THAT ME L= USE.
'AL E lhi E
20. THE FINAL COMPACTION REPORT AND APPROVAL FROM THE SOILS ENGINEER SHALL CONTAIN
THE TYPE OF FIELD TESTING PERFORMED. EACH TEST SHALL BE IDENTIFIED WITH 114F METHOD OF
OBTAINING THE 1N -PLACE DENSITY, WHETHER SAND CONE OR DRIVE RII'A2 AND SHALL BE SO NOTED
FOR EACH TEST. SUFFICIENT MAXIMUM DENSITY DETERMINATION SHALL BE PERFORMED TO VERIFY
THE AIC URACY OF THE MAXIMUM DENSITY CURVES USED BY THE FELD TECHNICIAN.
1C R
21. ALL TRA'VOEI ED WA)fS MUST Bf- "LLIANED DAILY OF All- DIRT, MUD AND DEEBRIS DEPOSITED ON
THEM AS A RESULT OF THE GRADING OPERATION. CLEARING 'IS TO BE DONE TO THE SATISFACTION
OF THE CITY ENGINEER.
B LI G D
22. BLOCK WALLS ARE NOT PART OF THE GRADINIG PERMIT, SUBMIT FOP, SEPARATE U111 DIN � I ERM!T.
21 ALL CONSTRUCTION AREA TF
- S SHALL BE PROPERLY POSTED AND LIGHIED IN CONFORMANCE WITH
Em ES FOR USE IN PERFORMANCE OF
THE STATE_ MANUAL OF WARNING SIG IS, LIGHT S AND D - ACCE TH
WORK UPON HIGHWAYS, IN ORDER TO EUMII"IATE ANY HALZARDS.
24� THE SOILS ENGINEER AND ENGINEERING GEOLOGIST SHAUL EXERCISE SUFFICIENT SUPERVISORY
A 3,
CONTROL DURING GRAIDIN'G TO INSURE COMPLIANCE 10-i"ITH THE PLANS SPECIFICATIONS, AND CODE
Wit T H I N T Ll 4 El R P U R VII EW�
-5. THE DESIGN CIVIL ENGINEER SHALL EXERCISE SUFFICIENT CONTROL DURING GRADflxI'G AND
2 2
CONSTRUCTION TO INSURE COMPLIANCE WITH THE PLANS, SPECIRICATIONS, AND CODE WITHIN HIS
PURVIEW.
1Z AFTER SUBMITTAL
26. THE CITY ENGINEEER WILI REVIEW FOR APPROVAL THE FINAL STRET SECTION A
OF "R" 'VALUE TESTS, FO ROADWAY SUBBASE.
27. THE CONTRACTOR IS RESPONSIBLE -10 PREVENT SILT CONTAMINATION OF STORMWATER
BSE U I
INFILTRATION FACIUTIES DURING CONSTRUCTION OF SUP- QUENT IMPROVEMENTS BY THE CONTRACTOR.
IMMEDIATELY PRIOR TO FFINAL ACCEPTANCE Oil: STORM DRAINAGE tDAfr--Tr-NT',O-,�,,'/INr�11,TOATION FACILITCC
1 1 L -J.,
THE CONTRACTORSHALL CONDUCT, IN THE PRESENCE OF THE CITY INSPECTOR,, A PERFORMANCE
TEST -DESIGNED TO CLEARLY DEMONS -HRATIE RIE FUNCTIONAL ADEQUACY OF TH FACILITIES.
28. THE CONTRACTOR SHALL PROVIDE WIND EROSION AND DUST CONTROL MEASURE AS REQUIRED
BY 11FIE FUGITIVE DUST CONTROL Pit -AN APPROVED FOR THIS PROJECT.
Unf.i-erground Service Alert'BEICHAIARK TBAY. ELEV: 41.99
011100ft- TOP OF CURB A T 77HE PRC ADJA C01 T TO L 0 T 4, HL OCK, 6, DESER 1
rc=-Il CIUS NACT UNVT NO. 11, U.B. 119175, PfIly CITY OF LA QUINrAl
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ft A N LE '-OR- A SHEEI 27 or- 4f
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2j. 2 7 2 6 0 0 NGVD 29
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TWO WORKIINIG-7 DAYS BEFORE YOU DDIG REFEERENCr
NMI 01 U I
1APPROVED FOR PERMITTTNG- PLANNING AND ZONING COMPLIANCE:
T OM HARTUNG DATE DOUGLAS R, 'EVANS DATE
LEVEND: BUILDING AND SA FETY DIRECTOR COMMUNITY DEVELOPMENITI DIRECTOR
Ty OF LA QUIFNITA
CITY OF I A QUINTA Cif
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APPROVED L 0 T 923 4 '1
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LOT 23 1
I CONSTRUCT WALL PER SEPARATE PLAN AND PERMIT. 9 LF NEXT TO TH1E BUIWING." EXIST. R-PSIDENCE /0
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HEIGHT AS SHOWN ON PLANS. 00.28 > 100.1 x 100.64
5(i 00.69TC" CL
SAW CUT AND REMOV`E EXISTING 6l CURB & GUTTER 22 LF FL
PER i IMIT SHOWN ON PLAN'.
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PER CITY OF LA QUINTA STID. #211. PER SEPARATE
PLAN AND PERMIE
lr,00.69
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PREPARED FOR:-
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78-375 AVENIDA LA FONDA 7, T
TT11 �&�:,CA 92253:_
770-164-013 IJA Qu imi
DESERT CLUB TRACT, UNIT 2 LA QUINTA, CA 922,01-3 NOTE. THE AB%rE QUANTITES ARE, FOR . ESTIMATION OF FEES ONLY (760).564-8470
CONTRAICTOR TO Z)ETERmixE wari iTEs om Hirs 0-WIV 'AlOR TO
SUBMITTING BID TO OWNFR.
F0577,
PREPARED UNDER THE SUPEROSION FESS/o.. enning BUFFIN RESIDENCE D ES I G N: DRAFT:
Q4 _Chril
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ATE: C I
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P ft h ;�:ih
E S FAN D I A R S HA RA E H D, Engineeriing
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R NO� 47834 EXP. D F 131/2005 47834 CIVIL E N G I Nfo"; E R kaHECK:
- ------------- ---------- LOT 1 BLOCK 4,1 M.B. 20 006
F I
N 0 V. 0 4
�x Exp. 121/31/05
)� Y DESERT CLUB TRACT, UNIT 2
P,',I7j,1A DESERT
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[POI.RTION OF THE S. 1/2 OF THE N�E. 1/4r OF TITIE S.W. 1/4 OF SECTION 6, T.6S.,,R.7E., SBB&m DWG No. 'rG749011
45-175 Panorama Ddve, Suite k-1, Polm Deseit Ck W260
NO. IDATF INIT.1 APPYN11 DATE Cf C. ftw. (760) 340-5597 FAX: (760) X5597 SH -EE -11- 1 OF 1
CITY OF LA QUINTA
REVI SION, SD
VC96FS�
C DVIFY 3�1
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